MOJ Clinical & Medical Case Reports Case Report Open Access Pacemaker induced post cardiac injury syndrome Abstract Volume 2 Issue 4 - 2015 Post pacemaker insertion pericarditis is a rare form of post cardiac injury syndrome. Mohsin Salih,1 Mohamed Ayan,2 Mohamed It is an inflammatory process involving the pericardium and/or pleura due to a recent 1 2 1 cardiac injury. Post cardiac injury syndrome may develop after myocardial infarction Gashouta, Aiman Smer, Anthony Pearson 1Department of Internal Medicine, St Luke’s Hospital, USA (Dressler syndrome), cardiac surgery or trauma. However, in rare cases it can occur 2Department of Internal Medicine, Creighton University medical following minor cardiac procedures. We report a case of a 74-year-old male with center, USA post-cardiac injury syndrome 4weeks post permanent pacemaker implantation. A high index of suspicion in addition to ordering appropriate imaging studies and device Correspondence: Mohamed Ayan, Department of Internal interrogation are crucial to establish correct diagnosis and rule out lead perforation. Medicine, Creighton University medical center, 11017 Lafayette plaza, # 2012, Omaha, NE 68154, USA, Tel 832-881-3047, Keywords: pericarditis, pacemaker, cardiac, injury Email
[email protected] Received: May 20, 2015 | Published: June 26, 2015 Abbreviations: PCIS, post cardiac injury syndrome; AV, atrio- pericardial effusion with no echocardiographic finding of tamponade ventricular; TTE, transthoracic echocardiogram; WBC, white blood physiology (Figure 3). cells Introduction Post cardiac injury syndrome (PCIS) is a well-recognized clinical entity.1 PCIS is an inflammatory pericarditis that develops a few weeks after a cardiac injury. It usually presents following myocardial infarction (Dressler syndrome), cardiac surgery or trauma.